Cervical pessary is a medical device used to treat an incompetent (or insufficient) cervix (cervix starts to shorten and open too early). Early in the pregnancy a round silicone pessary is placed at the opening to the cervix to close it, and then it's removed later in the pregnancy when the risk of a preterm birth has passed.
Pregnant women are at risk of giving birth too early when their cervix begin to efface (shorten) and dilate (open). Different treatments have been tried to prevent a late miscarriage or preterm birth. A common treatment is cervical cerclage or stitch when a suture is stitched around the opening of the cervix around 12–14 weeks into the pregnancy.[1] A cervical pessary is being studied as an alternative to cervical cerclage since there are fewer potential complications.[2] More medical studies are needed to decide whether a cervical pessary is equal to or the best treatment.[2][3]
^Alfirevic, Zarko; Stampalija, Tamara; Medley, Nancy (2017). "Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy". The Cochrane Database of Systematic Reviews. 2017 (6): CD008991. doi:10.1002/14651858.CD008991.pub3. ISSN 1469-493X. PMC 6481522. PMID 28586127.
^ abAbdel-Aleem, H; Shaaban, OM; Abdel-Aleem, MA (May 31, 2013). "Cervical pessary for preventing preterm birth". The Cochrane Database of Systematic Reviews. 5 (5): CD007873. doi:10.1002/14651858.CD007873.pub3. PMC 6491132. PMID 23728668.
^Abdel-Aleem, Hany; Shaaban, Omar M; Abdel-Aleem, Mahmoud A; Aboelfadle Mohamed, Ahmed (1 December 2022). "Cervical pessary for preventing preterm birth in singleton pregnancies". Cochrane Database of Systematic Reviews. 2022 (12): CD014508. doi:10.1002/14651858.CD014508. PMC 9713761. PMID 36453699.
Cervicalpessary is a medical device used to treat an incompetent (or insufficient) cervix (cervix starts to shorten and open too early). Early in the...
investigate whether cervical cerclage is more effective when combined with other treatments, such as antibiotics or vaginal pessary, but the evidence remains...
A pessary is a prosthetic device inserted into the vagina for structural and pharmaceutical purposes. It is most commonly used to treat stress urinary...
sparingly in women with a history of conization. A cervicalpessary is being studied as an alternative to cervical cerclage since there are fewer potential complications...
as a distinct device. In the 1920s, cervical caps (and also diaphragms) were often just called pessaries. Cervical caps or conception caps have also been...
Cervical effacement or cervical ripening refers to the thinning and shortening of the cervix. This process occurs during labor to prepare the cervix for...
requires six hour dosing or it can come as a slow release dinoprostone pessary that does not need to be re-administered and can be taken out if necessary...
also includes a device inserted into the pelvic area (i.e. a cervical cap, IUD, pessary, etc.); an allergy to spermicides or latex in condoms; or, exposure...
that is recommended. In those with more significant symptoms a vaginal pessary, pelvic muscle exercises, or surgery may be recommended. The type of surgery...
honey and sodium carbonate applied to the inside of the vagina, and a pessary made from crocodile dung. Lactation (breast-feeding) of up to three years...
These include, but are not limited to, use of "kegel exercises", vaginal pessary, constipation relief, weight management, and care when lifting heavy objects...
IUDs were first marketed in 1902. Developed from stem pessaries (where the stem held the pessary in place over the cervix), the 'stem' on these devices...
among diaphragms, cervical caps, female condoms, and other pessaries; one form of "womb veil" is described in 1890 as "like a ring pessary covered by a membraneous...
Disturbance of cervical membranes Pessary of Prostin cream, prostaglandin E2 Intravaginal or oral administration of misoprostol Cervical insertion of a...
Kahun Papyrus, an Egyptian document dating to 1850 BCE. It described a pessary of crocodile dung and fermented dough. It is believed that the low pH of...
cancer and treatments involving materials such as herbs and tools such as pessaries. Ancient Roman doctors believed that menstruation was designed to rid...
have given birth prior, those with a history of opiate use, or those with cervical dilation of more than 7 cm are at a higher risk of inadequate pain control...
amulets and instead prescribed mechanical methods such as vaginal plugs and pessaries using wool as a base covered in oils or other gummy substances. Many of...
contraception (primarily douching, but also withdrawal, rhythm, condoms and pessaries) and that they viewed sex as a pleasurable act that could be undertaken...
contraception (primarily douching, but also withdrawal, rhythm, condoms and pessaries) and that they viewed sex as a pleasurable act that could be undertaken...
methods of hormone replacement therapy (HRT) Initial fitting of vaginal pessaries for organ prolapse Be on the doctor rota at any level or used interchangeably...
involve the use of pelvic floor muscle training, stimulation, biofeedback, pessaries, bladder retraining, and sometimes intermittent catheterization. Bowel...
Global Information